首页|基于"一气周流"浅析慢性肾脏病合并睡眠障碍

基于"一气周流"浅析慢性肾脏病合并睡眠障碍

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慢性肾脏病是由多种疾病引起的临床综合征,特征是肾结构和功能呈进行性和不可逆性改变,逐渐进展为终末期肾病.随着透析技术的发展,慢性肾脏病患者的预期寿命延长,全身并发症也越来越受到关注,其中以睡眠障碍比较常见.慢性肾脏病合并睡眠障碍发病率高,且可能增加合并症的发生风险或加速病情进展,对患者的健康和生活质量有严重影响.现代医学研究认为,肾功能与睡眠密切相关,睡眠障碍可能对肾功能产生不利影响,故使用催眠药物进行对症治疗,但是长期应用催眠药物会产生戒断反应以及加重肾功能损伤.中医学认为慢性肾脏病病位在肾,涉及五脏."一气周流"理论认为脾胃为气机升降的枢纽,肝肺为升降的关键,心肾为升降的根本.研究从"一气周流"理论角度探讨慢性肾脏病合并睡眠障碍,为临床防治提供新思路.
A brief analysis of chronic kidney disease plus sleep disorders based on the theory of"Qi circulates around the body"
Chronic kidney disease is a clinical syndrome caused by a variety of diseases,characterized by progressive and irreversible changes in kidney structure and function,gradually progressing to end-stage renal disease.With the development of dialysis technology,the life expectancy of patients with chronic kidney disease has increased,and the systemic complications of patients have attracted more and more attention,among which sleep disorder is more common.Chronic kidney disease plus sleep disorders has a high incidence,and it may increase the risk of complications or accelerate the progression of the disease,with serious impacts on the health and quality of life of patients.Contemporary medical research suggests a close relationship between kidney function and sleep,with potential adverse effects of sleep disorders on kidney function.Hypnotic drugs are used for symptomatic treatment,but long-term use of hypnotic drugs can produce withdrawal reactions and aggravate renal function damage.According to traditional Chinese medicine,chronic kidney disease is located in kidney and involves five viscera.Among them,the theory of"Qi(气)circulates around the body"holds spleen and stomach as the hub of Qi movement,liver and lung as the key,and heart and kidneys as the foundation.The author explores chronic kidney disease plus sleep disorders from the perspective of"Qi circulates around the body",providing new insights for clinical prevention and treatment.

Qi circulates around the bodyAscending and descending of Qi movementChronic kidney diseaseSleep disorder

王政丽、李红、行延霞、赵晓燕

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山西中医药大学,山西 太原,030024

山西中医药大学附属中西医结合医院,山西 太原,030013

一气周流 气机升降 慢性肾脏病 睡眠障碍

2024

中医临床研究
中华中医药学会

中医临床研究

影响因子:0.839
ISSN:1674-7860
年,卷(期):2024.16(25)